NCT05621824

Brief Summary

Study objective: The purpose of this study is to establish a prospective follow-up cohort of high-risk groups of pancreatic cancer, screen early pancreatic cancer through EUS and other means according to the existing clinical process, and evaluate each risk factors. And to prospectively collect biological samples to find molecular markers for early diagnosis of pancreatic cancer. Study design: This is a real world, multicenter, prospective, observational cohort study.

Trial Health

65
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
900

participants targeted

Target at P75+ for all trials

Timeline
32mo left

Started Dec 2024

Longer than P75 for all trials

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress36%
Dec 2024Dec 2028

First Submitted

Initial submission to the registry

November 10, 2022

Completed
8 days until next milestone

First Posted

Study publicly available on registry

November 18, 2022

Completed
2 years until next milestone

Study Start

First participant enrolled

December 1, 2024

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
2.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

April 9, 2024

Status Verified

April 1, 2024

Enrollment Period

1.5 years

First QC Date

November 10, 2022

Last Update Submit

April 6, 2024

Conditions

Keywords

Early Pancreatic Ductal AdenocarcinomaEndoscopic UltrasoundHighRisks for Pancreatic Ductal Adenocarcinoma

Outcome Measures

Primary Outcomes (2)

  • Number of Participants with T1 PDAC

    Patients found with early stage PDAC, which means tumor size \< 2cm.

    5 years

  • Number of Participants with no clear pancreas lesions

    Patients found with no clear pancreas lesions during 5 years follow-up.

    5 years

Secondary Outcomes (5)

  • Number of Participants with other stages of PDAC

    5 years

  • Number of Participants with IPMN

    5 years

  • Number of Participants with chronic pancreatitis

    5 years

  • Number of Participants with autoimmune pancreatitis

    5 years

  • Number of Participants with other pancreas diseases

    5 years

Study Arms (3)

Solid mass

Patients with solid mass of pancreas during pancreas MR examination.

Device: Endoscopic ultrasoundProcedure: EUS-Fine needle aspiration

Cystic lesions

Patients with cystic lesions or expansion of MPD during pancreas MR examination.

Device: Endoscopic ultrasoundProcedure: EUS-Fine needle aspiration

No clear focus

Patients with no clear focus during pancreas MR examination.

Interventions

Use endoscopic ultrasound to examine the pancreatic lesions.

Cystic lesionsSolid mass

If solid mass of pancreas was found during EUS, EUS-FNA shall be conducted for diagnosis.

Cystic lesionsSolid mass

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with high risks for pancreas cancer in Peking Union Medical College Hospital and other related research centers in China.

You may qualify if:

  • From the beginning of the study to the end of the study, the 18-80 year old patients who were admitted to Peking Union Medical College Hospital and related research centers and who met the high-risk population of pancreatic cancer understood and were willing to participate in the study and signed the informed consent form.
  • In this study, the high-risk population of pancreatic cancer is defined as patients who meet any of the following conditions:
  • A. Patients with previous history of pancreatitis (acute or chronic).
  • B. Patients with pancreatic cancer related genetic background, including immediate relatives with a family history of pancreatic cancer. Or genetic syndrome related to pancreatic cancer. \[including hereditary breast cancer ovarian cancer syndrome (HBOCS), carney complex (CNC), familial adenomatous polyps (FAP), hereditary diffuse gastric cancer syndrome (HDGC), juvenile polyposis (JPS), cutaneous malignant melanoma (CMM), hereditary papillary renal cell carcinoma (HPRCC) and Lynch syndrome\]
  • C. Patients with continuous or progressive increase of CA19-9 and CEA.
  • D. Patients with potential malignant pancreatic tumors, including mucinous cystic tumor (MCN) and intraductal papillary myxoma of the pancreas (IPMN).
  • E. Newly diagnosed patients with diabetes (within 3 years after diagnosis of diabetes).
  • F. Other patients who are considered as having high risk factors for pancreatic cancer.

You may not qualify if:

  • A. Those who are not suitable for endoscopic examination, including but not limited to: poor general condition, serious heart and lung disease, and difficult to tolerate the examination; coagulation disorders; platelets \<50 × 10\^9/L;those who are not suitable for endoscopic examination after interview by an endoscopic physician.
  • B. The patient or family member could not understand the conditions and objectives of this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Biospecimen

Retention: SAMPLES WITH DNA

Baseline sample includes 20ml blood sample, 1 dental plaque sample and 1 stool sample. Follow-up samples include 10mL blood sample, duodenal fluid samples collected during EUS examination and remaining samples of pancreatic puncture tissue and/or cyst fluid during EUS.

MeSH Terms

Conditions

Carcinoma, Pancreatic Ductal

Interventions

EndosonographyEndoscopic Ultrasound-Guided Fine Needle Aspiration

Condition Hierarchy (Ancestors)

Carcinoma, DuctalAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms, Ductal, Lobular, and MedullaryPancreatic NeoplasmsDigestive System NeoplasmsNeoplasms by SiteEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

UltrasonographyDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisBiopsy, Fine-NeedleBiopsy, NeedleBiopsyCytodiagnosisCytological TechniquesClinical Laboratory TechniquesImage-Guided BiopsySpecimen HandlingUltrasonography, InterventionalDiagnostic Techniques, SurgicalSurgical Procedures, OperativeMinimally Invasive Surgical ProceduresInvestigative Techniques

Study Officials

  • Xi Wu, M.D.

    Peking Union Medical College Hospital

    STUDY DIRECTOR
  • Shengyu Zhang, M.D.

    Peking Union Medical College Hospital

    PRINCIPAL INVESTIGATOR
  • Yuheng Zhang, MD candidate

    Peking Union Medical College Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
associate professor

Study Record Dates

First Submitted

November 10, 2022

First Posted

November 18, 2022

Study Start

December 1, 2024

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

December 1, 2028

Last Updated

April 9, 2024

Record last verified: 2024-04